| NPI | 1295068468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERAN JAMES GUTKIN President 206-283-0964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE60102369) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2012-01-31 |